title: Pharyngeal gonorrhea.
abstract: Cultures of genital sites and pharynx were obtained from 903 prostitutes and 102 active-duty men at Clark AFB, Republic of the Philippines, during the first quarter of 1981. Slightly more than 2.2% positive pharyngeal cultures in the women and 6% in the men were noted. Both penicillin-sensitive and penicillinase-producing Neisseria gonorrhoeae (PPNG) were recovered. Treatment and follow-up of the pharyngeal infections were available only for the men seen at the Clark Public Health Clinic. These men responded to penicillin G procaine for penicillin-sensitive N gonorrhoeae and to spectinomycin hydrochloride for PPNG. A retrospective review of cases of male gonococcal urethritis seen in 1980 in the Clark Public Health Clinic revealed 46 cases of probable oral-to-genital transfer of N gonorrhoeae among more than 2,600 cases of gonococcal urethritis. Of these 46, fifteen were PPNG. The importance of the pharynx as a source of infection is thus substantiated.
mesh_terms: D005260:Female; D006069:Gonorrhea / Q000635:transmission*; D006801:Humans; D008297:Male; D008887:Military Medicine; D009344:Neisseria gonorrhoeae / Q000187:drug effects / Q000302:isolation & purification / Q000378:metabolism; D010402:Penicillin G Procaine / Q000494:pharmacology; D010405:Penicillinase / Q000096:biosynthesis; D010608:Pharyngeal Diseases / Q000382:microbiology / Q000635:transmission*; D010679:Philippines; D011477:Sex Work; D012725:Sexual Behavior; D014481:United States / Q000208:ethnology
chemical_list: D010402:Penicillin G Procaine; D010405:Penicillinase